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Organization

COMMUNITY ACTION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PEG KINDA (CONSULTANT)
(507) 401-0419
Entity
Organization

Contact information

Practice address
1651 JEFFERSON PKWY STE HS-20, NORTHFIELD, MN 55057-2760
(507) 664-3540
Mailing address
1651 JEFFERSON PKWY STE HS-20, NORTHFIELD, MN 55057-2760
(507) 664-3540

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
11/23/2022
Last updated
11/23/2022
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